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Mississippi rates for HCPCS J1200

Injection Diphenhydramine Hcl Up To 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $5.04 / $44.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.91 / $2.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.76 / $1.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.00